Individual
MATTHEW LEE SHRYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
500 W BROADWAY ST STE 320, MISSOULA, MT 59802-4003
(063) 295-6154
(406) 329-5606
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
147811
AK
363LA2100X
Acute Care Nurse Practitioner
Primary
NUR-APRN-LIC-206610
MT
Other
Enumeration date
07/12/2019
Last updated
08/22/2023
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